中国现代医学杂志2026，Vol.36Issue(2)：36-41,6.DOI:10.3969/j.issn.1005-8982.2026.02.006
内镜成像技术在诊断浅表非壶腹部十二指肠上皮肿瘤中的应用进展
Advances in endoscopic imaging techniques for the diagnosis of superficial non-ampullary duodenal epithelial tumors
摘要
Abstract
Superficial non-ampullary duodenal epithelial tumors(SNADETs)are sporadic neoplasms arising from the mucosa or submucosa of the duodenum,independent of the Vater papilla.Early-stage SNADETs are characterized by a low rate of lymph node metastasis,making most cases suitable for endoscopic treatment.However,the narrow duodenal lumen,subtle lesion morphology,and lack of specific early symptoms contribute to high rates of missed diagnosis and misdiagnosis,leading to delayed management.Improving the accuracy and timeliness of SNADET diagnosis remains an urgent clinical need.Endoscopic imaging techniques,ranging from conventional white light endoscopy to chromoendoscopy,confocal laser endomicroscopy,endocytoscopy,capsule endoscopy,and AI-assisted endoscopy,now offer real-time,high-resolution,and multi-layered visualization.These advances provide significant potential for improving the detection and characterization of SNADETs.This review summarizes the current status and clinical applications of existing endoscopic imaging techniques in SNADET diagnosis,aiming to provide new strategies and insights for enhancing lesion detection and diagnostic consistency.关键词
浅表非壶腹部十二指肠上皮肿瘤/色素内镜/共聚焦内镜/细胞内镜/胶囊内镜/人工智能Key words
SNADET/chromoendoscopy/confocal laser endomicroscopy/endocytoscopy/capsule endoscopy/artificial intelligence分类
医药卫生引用本文复制引用
秦晨玮,赖莘秀,常宗宏,李志虎..内镜成像技术在诊断浅表非壶腹部十二指肠上皮肿瘤中的应用进展[J].中国现代医学杂志,2026,36(2):36-41,6.基金项目
甘肃省卫生健康行业科技创新重大项目(No:GSWSQNPY2024-07) （No:GSWSQNPY2024-07）
